N/A
N=47,307
Adolescent and Child Suicide Prevention in Routine Clinical Encounters
Suicide
Bottom Line
View on ClinicalTrials.gov: NCT04844021 ↗Enrolled (actual)
47,307
Serious AEs
0.0%
Results posted
Jul 2024
Primary outcome: Primary: Reach — 0.2735; 0.4045 proportion of visits
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Nudge (Behavioral); Nudge+ (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Northwestern University
- Primary completion
- Mar 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Reach |
0.2735; 0.4045 | — |
| SECONDARY Fidelity |
— | — |
| SECONDARY Parent-reported Acceptability |
— | — |
| SECONDARY Clinician-reported Acceptability |
— | — |
| SECONDARY Cost |
— | — |
| SECONDARY Distribution of Cable Locks |
— | — |
Summary
The objective of this study is to compare two approaches to implement an evidence-based firearm safety promotion program, S.A.F.E. Firearm, in pediatric primary care as a universal suicide prevention strategy. The first implementation approach is a prompt in the electronic health record (EHR; Nudge) reminding clinicians to a) discuss firearm storage and b) offer a free cable firearm lock during the pediatric well visit. The second implementation approach (Nudge+) includes both the EHR Nudge described above plus one year of support to the clinics in deploying the program (i.e., practice facilitation). The study also aims to identify how these strategies work and whether the S.A.F.E. Firearm program results in reduced unauthorized access to firearms by young people. The investigators hypothesize that a greater proportion of well-visits will have S.A.F.E. Firearm delivery documented in the electronic health record in Nudge+ clinics vs. Nudge clinics.
Eligibility Criteria
Inclusion Criteria: Parents
- Parents and/or legal guardians (hereafter referred to as parents) at participating pediatric clinics who have a child age 5-17 who attends a well visit. At least one parent must attend the well visit to be eligible. The parent must be at least 18 years old to participate.
Exclusion Criteria: Parents
- Due to translation costs and challenges of recruiting non-US resident participants, respectively, non-English speaking parents and non-US resident parents will not be eligible to participate at Henry Ford Health System.
Inclusion Criteria: Clinicians and leaders
- Pediatric physicians and non-physician clinicians (hereafter referred to as clinicians) employed within the participating pediatric clinics, as well as health system leaders employed within the two health systems, are eligible to participate. Family medicine clinicians who see pediatric patients in participating clinics at Kaiser Permanente Colorado will also be eligible.
Exclusion criteria: Clinicians and leaders
- At Kaiser Permanente Colorado, family medicine clinicians whose patient panel is comprised of fewer than 5% pediatric patients will be excluded.
- Family medicine clinicians who see pediatric patients in participating clinics at Henry Ford Health System will be excluded.
Data sourced from ClinicalTrials.gov (NCT04844021). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.